Blood Transfusion in Obstetrics & Gynaecology in Khartoum Teaching Hospital

Abstract

Objectives: to reflect the problems faced by blood bank, also to determine the rate of blood donation and transfused in KTH: contaminated donated and contaminated transfused blood. In addition to estimate the rate of transfusion in obstetrics and gynaecology and for all surgical procedures. Also determination of the incidence of unnecessary blood transfusion had been the concern. Design: A descriptive prospective study. Setting: Khartoum Teaching Hospital (KTH); Blood Bank and Obstetrics & Gynaecology Department in the period of April 2000 to October 2000. Subject: Patients of all socioeconomic group who had been transfused with blood antenatally, postnatally including those who had undergone gynaecological procedures during the period from 1st of April 2000 to the 1st of October 2000, were included in the study irrespective of their socioeconomic groups, patients age, health and gestational age. Results: The total blood donation (85%) of the total need for transfusion. This type of donation is of family one. There was no evidence of any voluntary donation. The rate of blood transfusion was found to be 11.4%. The incidence of contaminated blood donated was found to be 1.2% for HIV and 7% for HBV and contaminated transfused blood was 0.11% (which roughly corresponds 1 pint of blood per month). The rate of transfusion in obstetrics and gynaecology was found to be (11.4%); 4.7% for obstetrics & 6.7% for gynaecology. Concerning obstetrics, the rate of transfusion was as follows:- anaemia with pregnancy (60%), APH (8.5%), PPH (25.7%), (P= 0.0961, significant). In relation to surgical procedures, the rate of transfusion was as follows: (C/S 11.3%, abdominal hysterectomy 14.9%, vaginal hysterectomy 0.59%, myomectomy 14.9%, surgery on ovaries, tubes and vaginal 16.69%), (P = 0.121037, significant). The rate of unnecessary blood transfusion was found to be roughly more than 50%. Conclusion: The blood bank is still facing problems as the result of inadequacy of funds and it is not in a continuous pattern. There is significant incidence of unscreened blood transfusion due to the inadequate donation and due to time consuming for screening. There is troublesome high incidence of unnecessary blood transfusion leaving the patients to be exposed to hazards of transfusion which can be avoided by strict adherence to guidelines of blood transfusion.